EMDR Europe Annual Conference | Oslo 2026 - Poster Summaries

Bilateral Stimulation in EMDR: Differential Effects on Frontal EEG and Peripheral Physiology in PTSD and Health Controls 

Eva Schaeflein, Markus Stingl, Derek Spieler, Martina Henn, Bernd Hanewald, and Martin Sack

Focus: The primary aim of the study is to examine the physiological effects of visual and tactile bilateral stimulation (BLS) during different emotional stimuli in patients with posttraumatic stress disorder (PTSD) and healthy controls. It builds on previous findings suggesting that BLS, a core component of EMDR, reduces psychophysiological arousal and heart rate.

Methodology:

• Sample: 20 female patients with PTSD diagnosed using SOD-PTSD and 20 matched healthy female controls from the Technical University of Munich.


• Research Design: A counterbalanced, within-subjects design consisting of four blocks.


• Data Collection: Participants recalled stressful or neutral events (such as individual scenarios or washing dishes) during eye movements or tactile BLS. Frontal EEG (total power TOTPOW, spectral edge frequency SEF) and peripheral psychophysiology (interbeat interval IBI, sympathetic tone PEP, parasympathetic tone LNSSD, respiratory rate RESP) were recorded.


• Analysis: Data were examined using mixed-model analysis to investigate the effects of stimulation type, memory condition, and group.

Key Findings:

• During both visual and tactile stimulation, regardless of group (patient vs. control) and memory condition (stressful vs. neutral), a significant increase in frontal EEG total power and a decrease in spectral edge frequency were observed.


• A reduction in autonomic arousal (increased IBI/decreased heart rate) was detected.


• The increases in IBI during visual stimulation (p < 0.001) and tactile stimulation (p < 0.001) were statistically significant.

Conclusion: The results show that bilateral stimulation (visual/tactile) increases frontal EEG activity and reduces autonomic arousal. This suggests that BLS may facilitate cortical top-down regulation.

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Pilot Study on Reducing Burnout Levels in Teachers with EMDR Intervention

Aysun Alioğulları, Halide İlbasmış İncesu, Sibel Tokat, Berna Bulut

Istanbul Arel University, Department of Psychology, Istanbul
Private Practice, Kayseri
Maya Counseling, London, England

Focus: This pilot study aims to investigate the effects of an EMDR intervention on emotional exhaustion, perceived stress, and personal accomplishment in teachers, who work in a high-stress profession and are at risk of burnout.

Methodology:

• Research Design: A single-group pretest-posttest experimental pilot study.


• Sample: 20-30 working teachers reporting moderate to high levels of burnout.


• Intervention: Participants will receive 10 sessions of individual EMDR therapy. EMDR targets are identified based on work-related stressors, associated negative cognitions, and accompanying emotional/physical responses.


• Data Collection Instruments: Maslach Burnout Inventory, Perceived Stress Scale, and Impact of Event Scale-Revised (IES-R).

Key Findings: The study is designed as a pilot, and the EMDR intervention is expected to be associated with reductions in emotional exhaustion and perceived stress and an increase in perceived personal accomplishment.

Conclusion: This research aims to provide preliminary evidence that EMDR may be a feasible and potentially effective intervention for reducing burnout symptoms in teachers.

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Bilateral Stimulation Preferences in Child and Adolescent EMDR Therapy: A Clinical Practice-Based Analysis

Nihal Arvas Yanık, Duygu Karakaya Özkan, İrem Akgül, Nilüfer Köseoğlu, Sema Şekerci, Zeynep Korkmazlar, Ümran Korkmazlar

Focus: The study aims to identify bilateral stimulation (BLS) preferences across different age groups and clinical presentations in child and adolescent EMDR practice.

Methodology:

• Sample: Children aged 3-18 receiving EMDR therapy for anxiety, emotion regulation difficulties, attachment problems, bullying, trauma, OCD, and loss.


• Research Design: A descriptive study.


• Data Analysis: Data were analyzed using descriptive statistics. BLS methods were categorized as self-administered, device-based, therapist-mediated, and caregiver-mediated.

Key Findings:

• Most Frequently Used Methods: Device-based tactile BLS (42%), Butterfly Hug (22%), caregiver-mediated BLS (16%).


• Preferences by Age Group:
  
  
  
  • Ages 3-7: Caregiver-mediated + external stimulation.
  
  
  • Ages 8-12: Device-based.
  
  
  • Ages 13-18: Self-administered (Butterfly Hug).
  
  
  
  


• Preferences by clinical domain highlighted device-based methods for regulation and caregiver-mediated methods for attachment.

Conclusion: BLS preferences in children and adolescents are closely related to developmental level, presenting problems, and relational context. The findings emphasize the importance of flexible, developmentally sensitive BLS selection in clinical practice; a shift from external regulation toward self-regulation was observed with increasing age.

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Integrating EMDR and Analytical Psychology of C.G. Jung for Complex PTSD 

Vesna Bogdanovic, MD, PhD
Jelena Sladojevic-Matic, Psy, PhD

Focus: To explore the integration of selected Jungian concepts into EMDR therapy for complex PTSD (C-PTSD). The approach is based on the understanding that C-PTSD frequently involves attachment trauma, dissociation, and fragmentation of the self.

Methodology:

• Clinical Application: Jungian elements (images, dreams, inner figures, symbolic dialogue, and somatic experience) were incorporated into all phases of EMDR.


• Common Ground: EMDR's AIP model and trauma processing were combined with active imagination, symbolic exploration, and dream work from analytical psychology.

Key Findings:

• Greater access to dissociated material.


• Improved affect regulation (emotion regulation).


• Stronger integration of self-states.

Conclusion: Integrating EMDR and analytical psychology may offer additional pathways for processing and integration in C-PTSD. Jungian methods help address symbolic material emerging during recovery.

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Mindfulness-Based Reorientation from the Inner Critic During EMDR: A Case-Based Clinical Exploration

Serger Bozkurt

Private Practice, Germany

Focus: The study focuses on limited treatment response in some EMDR cases due to an "inner critic" (internalized parental dynamics) that interferes with processing. The aim is to improve emotional processing and facilitate a shift toward self-compassion.

Methodology:

• Method: Case-based clinical observation alongside the standard EMDR protocol.


• Techniques: Affect bridge, imaginal containment, labeling the inner critic + psychoeducation, shifting attention toward self-compassion, and retrospective patient-reported outcome assessments.

Key Findings:

• A high level of awareness (M = 9.9) was achieved.


• Sustained emotion regulation (M = 9.7) was observed.

Conclusion: Mindful awareness and reorientation away from the inner critic (and automatic rumination) support affect regulation during EMDR.

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EMDR Intervention for Adult Stuttering: An Adaptive Information Processing Perspective 

Çiğdem Uzun Eren

Private Practice, Niğde

Focus: To evaluate the clinical effects of an EMDR intervention within the AIP framework, recognizing adult stuttering as a neurodevelopmental fluency disorder. Activation of traumatic memory networks by current triggers was hypothesized to contribute to symptom persistence.

Methodology:

• Case: A 28-year-old married man working in a position involving substantial responsibility, experiencing speech blocks and performance anxiety.


• Processing: A childhood sexual boundary violation within the family was identified as the target memory. 10 EMDR sessions were administered.

Key Findings:

• Marked reduction in shame and performance anxiety.


• Elimination of avoidance behaviors.


• Significant improvement in speech fluency; stuttering symptoms were in full remission by the end of the sessions.


• Subjective Units of Disturbance (SUD) decreased from 10 to 0.

Conclusion: Targeting maladaptively stored traumatic memory networks contributes to symptom improvement in adult stuttering. EMDR may provide substantial clinical improvement in selected adult cases.

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Effectiveness of EMDR for Trauma-Related OCD in Children and Adolescents | A Pre-Post SUD Analysis of 14 Cases

Çiğdem Uzun Ceren, Canan Çitil Akyol, Ümran Korkmazlar

Focus: This study aims to examine changes in Subjective Units of Disturbance (SUD) levels following EMDR processing of traumatic memories in children showing OCD symptoms.

Methodology:

• Sample: 14 children and adolescents aged 8-17.


• Design: A retrospective case series with a single-group pretest-posttest design.


• Intervention: The Developmental EMDR Protocol was administered. A mean of 20.1 sessions (range 15-29) was conducted.


• Target Memory Themes: Parental conflict, physical violence, humiliation, exclusion, abandonment, contamination experiences, and excessive responsibility.

Key Findings:

• The mean SUD score decreased from 9.48 before intervention to 0.22 afterward.


• An 81.5% reduction in SUD levels for the primary target memory was recorded.

Conclusion: Processing trauma-related target memories with EMDR may significantly reduce SUD levels in trauma-related OCD cases. The findings are consistent with the AIP model and highlight the need for a comprehensive trauma history assessment in childhood OCD.

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Recovery of Autobiographical Memory via EMDR Therapy in Complex Trauma-Related Dissociative Amnesia: A Case Report

Enise Öziç

Liv Hospital, Samsun

Focus: This study aims to examine the effects of an EMDR therapy intervention in a case involving dissociative amnesia, autobiographical memory loss, and impaired psychological functioning following complex trauma.

Methodology:

• Sample: A 28-year-old female patient presenting with chronic headaches and severe memory loss.


• Measures: Dissociative Experiences Scale (DES), PCL-5 (PTSD Checklist for DSM-5), and CORE-OM (Clinical Outcomes in Routine Evaluation-Outcome Measure).


• Research Design: A case report involving 15 sessions using the eight-phase EMDR protocol.

Key Findings:

• Statistical Change: Clinically significant reductions in scale scores were recorded:
  
  
  
  • DES: Decreased from 58 to 3.
  
  
  • PCL-5: Decreased from 67 to 15.
  
  
  • CORE-OM: Decreased from 27 to 7.
  
  
  
  


• Clinical Observation: The patient's autobiographical memories from ages 10-18 returned, ego integrity strengthened, and affect tolerance increased.

Conclusion: EMDR therapy was concluded to be an effective method for restoring autobiographical memory, alleviating dissociative amnesia, and fostering ego integrity by transforming core negative beliefs.

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EMDR in an 8-Day Intensive Treatment Programme for PTSD and CPTSD: Outcomes in Routine Psychiatric Care

Hannes Gahnfelt, Sandra Weineland, Per F.G. Carlsson, Christina Blomdahl

Focus: To compare symptom reduction and dropout rates between an eight-day Intensive Treatment Programme (ITP) and treatment as usual (TAU) in patients diagnosed with posttraumatic stress disorder (PTSD) and complex PTSD (CPTSD).

Methodology:

• Sample: 47 participants in the ITP group and 54 in the TAU group.


• Data Collection: PCL-5 (baseline, post-treatment, and three-month follow-up).


• Research Design: The ITP group received two daily sessions of EMDR and Prolonged Exposure (PE) over eight days, while the TAU group received weekly sessions over 22 weeks.

Key Findings:

• Symptom Reduction: Both groups showed substantial reductions in PTSD symptoms; no significant difference in the rate of treatment response was found between groups.


• Dropout Rates: The dropout rate was 4% in the ITP group and 24% in the TAU group.

Conclusion: The intensive treatment format (ITP) significantly shortens treatment duration and reduces dropout rates. EMDR was shown to be successfully integrable into intensive formats.

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Critical Review of Adaptations of the Standard EMDR Protocol in Complex PTSD and Dissociative Symptoms

Tortes Saint-Jammes, J., Larribite, M., Lavandier, A.

Centre CAMEA, France
Centre Hospitalier de Cadillac, France

Focus: To present key clinical recommendations for using EMDR with patients exhibiting dissociative symptoms and CPTSD.

Methodology:

• Design: A reflective critical review of EMDR adaptations, international guidelines, and clinical literature.


• Instruments: Evaluation of the use of instruments such as DES-II and SCID-D.

Key Findings:

• Clinical Recommendations: The study proposes a three-phase model:
  
  
  
  1. Phase 1: Stabilization and Safety (working within the window of tolerance).
  
  
  2. Phase 2: Titrated and Fractionated Exposure to Traumatic Material (using techniques such as CIPOS and Tip-off).
  
  
  3. Phase 3: Integration and Relapse Prevention.
  
  
  
  

Conclusion: EMDR can be used safely in complex trauma cases when adapted within a phase-oriented framework. This approach reduces the risk of desensitization during the processing of traumatic memories.

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Adjunctive EMDR in Inpatient Trauma Care: A Mixed-Methods Case Study

Siri Kvam | Friskstiftelsen

Focus: To explore the effects of EMDR, delivered as an adjunctive intervention in a multidisciplinary inpatient care setting, on the patient's experience of change.

Methodology:

• Sample: A 43-year-old female patient diagnosed with CPTSD.


• Design: A mixed-methods single-case study involving seven EMDR sessions in addition to 15 weeks of multidisciplinary treatment.


• Instruments: PCL-5, SCL-10, BDI-II (quantitative), and a semi-structured interview (qualitative).

Key Findings:

• Quantitative: A marked reduction in PCL-5 and SCL-10 scores was observed.


• Qualitative: The patient reported "feeling joy again" and described imagery rescripting as a turning point.

Conclusion: The study concluded that EMDR can be integrated into inpatient trauma care and that imagery-focused work accelerates recovery, particularly in developmental trauma.

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EMDR Safety: Advers Events, Symptom Aggravation, and Treatment Discontinuation | Critical Review of Reporting and Proposal for a Monitoring Framework

Tortes Saint-Jammes

Centre CAMEA, France

Focus: To critically examine adverse event reporting in the EMDR literature and propose a monitoring framework.

Methodology:

• Design: A critical review of randomized controlled trials, observational studies, and clinical guidelines.


• Analysis: The analysis focused on adverse event definitions, data collection methods, and reasons for treatment discontinuation.

Key Findings:

• Reporting Gaps: Adverse events were found to be frequently inadequately defined and underreported.


• Proposed Framework: A five-step monitoring framework was proposed, including risk assessment, preparation before processing, in-session responses, and post-session follow-up.

Conclusion: EMDR safety cannot be defined solely by the absence of serious adverse events. The literature requires more rigorous and standardized reporting methods to detect destabilization early.

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Long-Term Effectiveness of EMDR Therapy in the Treatment of Obesity and Binge Eating Disorder

Manto Konstantoulaki, Natalia Seijo, Ermioni Tsarna, George Mastorakos, Fragiskos Gonidakis, Mersyni Armenaka, Ioanna Giannaki, Iliana Kaliontzaki, Alexandra Kerasioti, Anna Maria Kyriakapoulou, Christina Leptidi, Eleni Miltsiou, Sofia Sidiropoulou, Harilena Tsourouktsoglou, Christina Vallianatou, Manousos Konstadoulakis

Focus: To evaluate the long-term effects of EMDR therapy on reducing maladaptive eating behaviors in patients with obesity and binge eating disorder (BED).

Methodology:

• Sample: Patients with obesity and BED (n=6).


• Design: A quasi-experimental longitudinal study comparing EMDR + treatment as usual (TAU) with TAU alone.


• Instruments: Assessments using the Binge Eating Scale (BES) were conducted at baseline, post-treatment, and three- and six-month follow-ups.

Key Findings:

• Symptom Reduction: A significant reduction in BES scores from baseline to post-treatment (p=0.02) was recorded, and this effect was maintained at six months.


• Clinical Category Shift: At six months, 50% of the sample had moved into the "Mild/None" symptom category, with no participants remaining in the "Severe" category.

Conclusion: EMDR was found to be a promising intervention that produces lasting improvements in eating behaviors by addressing the traumas underlying eating disorders.

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EMDR Intervention in A Case of Chronic Urticaria

Funda Çiçek Onikioğulları

Focus: To examine the effectiveness of EMDR in treating chronic urticaria, a stress-related somatic condition.

Methodology:

• Sample: A 52-year-old female patient with a two-year history of chronic urticaria whose symptoms worsened during periods of stress.


• Design: A 15-session course using the standard eight-phase EMDR protocol.


• Instruments: Urticaria Activity Score (UAS7) and Subjective Units of Disturbance (SUD).

Key Findings:

• Symptom Improvement: An 86% reduction in the UAS7 score (from 36 to 5) was recorded.


• Follow-up: No relapse was reported during the three-month follow-up. SUD levels decreased from 10 to 2.

Conclusion: This case highlights the critical importance of processing unresolved traumatic memories in resolving somatic symptoms resistant to medical treatment.

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Early EMDR R-Tep Intervension in Patients After Myocardial Infarction | A pilot study on the reduction of acute stress and the prevention of PTSD following medical event

Monika Szpringer, Eliza Mazur, Edyta Laurman-Jarzabek, Krzysztof Beyger

Focus: To evaluate the safety and effectiveness of EMDR R-TEP in reducing acute stress and preventing PTSD risk in patients experiencing their first myocardial infarction (MI).

Methodology:

• Sample: Patients aged 35-55 hospitalized after their first MI (intervention group n=35, control group n=33).


• Instruments: NSESSS (acute stress), HADS-M (anxiety/depression), PCL-5, and PSS-10 (perceived stress).


• Design: A pilot study with an eight-week follow-up.

Key Findings:

• Group Comparison: Levels of acute stress (p=0.0000), PTSD symptoms (p=0.0000), and perceived stress (p=0.0000) were significantly lower in the EMDR group than in the control group.


• Clinical Difference: Patients receiving EMDR showed marked improvement compared with those receiving standard care.

Conclusion: Early EMDR R-TEP intervention following cardiac events is a safe and effective approach to reducing acute stress reactions and protecting long-term psychological health.

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Unlocking the Power of AIP Through Systemic-Relational Integration: A Clinical Application of Virginia Satir's "Pot" with EMDR

Ilaria Di Vecchio, Emanuela Laquidara

Focus: To integrate systemic-relational therapy with EMDR (through Satir's Self-Worth Pot metaphor) to process relational trauma and strengthen resources.

Methodology:

• Design: A clinical case study involving a young female patient.


• Model: Satir's "Self-Worth Pot" metaphor was transformed into a three-level model: Resources (Full), Current State (Fluid), and Traumatic Memories (Empty).

Key Findings:

• Clinical Outcomes: Rapid access to resources and traumatic memories was achieved, subjective disturbance decreased, and changes in negative core beliefs were recorded.


• Progress: Following intervention, an increase in the current level of the "Self-Worth Pot" and improved self-esteem were observed.

Conclusion: Integrating EMDR and systemic language supports recovery at both individual and systemic levels by placing trauma processing within a relational framework.

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Community Intervention Based on EMDR Following a Familicide Perpetrated by an Adolescent: The Paderno Dugnano Case

Dr. Giada Maslovaric, EMDR Supervisor, Psychotherapist
Dr. Silvia Arborini, EMDR Expert, Psychotherapist

EMDR018 Network: Chinello V., Granito C., Lodalo G., Marelli I., Orlandi F., Pedrini S., Plebani V., Puricelli S., Sambugaro E., Tomba A., Verardo A.R.

Focus: An intervention addressing collective trauma in the community following the September 2024 tragedy in Paderno Dugnano, Italy, in which a 17-year-old adolescent killed his mother, father, and 12-year-old sibling. The study's primary aim is to deliver a coordinated, trauma-focused intervention involving the school community and local residents.

Methodology: The intervention was delivered in three phases:

1. Psychoeducation (CISM): Seven meetings for parents, teachers, and the public during the first three weeks (approximately 480 participants).


2. Group EMDR Intervention (G-TEP): 15 groups across 23 sessions, involving middle and high school students and their teachers.


3. Individual EMDR and Supervision: Support for traumatized individuals and case supervision for treating therapists. Approximately 470 people were reached in total, 15 group sessions were held, and 13 EMDR therapists participated.

Key Findings:

• CISM Outcomes: Normalization of the event was facilitated, stigma surrounding psychological reactions decreased, and protection against the "Mark of Cain" (social stigmatization) effect was provided.


• G-TEP Outcomes: Safety and group cohesion increased; traumatic memories were processed (reducing fear and grief). A sense of clinical closure was achieved for both adults and young people.

Conclusion: Integrating CISM and EMDR (G-TEP) in the management of collective trauma is a key approach to reaching large populations, preventing stigma, and supporting community resilience.

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Shared Trauma, Divergent Minds: Flexibility of EMDR Across Developmental Stages

Sena İrem Tastabanoğlu

iremtastabanoglu@gmail.com
Private Practice, Clinical Psychologist, Izmir

Focus: To determine how siblings of different ages exposed to the same family stressor (divorce) represent trauma according to their developmental stages, and to differentiate EMDR targets accordingly.

Methodology: A sample of four siblings (aged 5, 8, 10, and 15) whose parents had divorced was examined within the Adaptive Information Processing (AIP) framework. A developmentally adapted EMDR protocol and the "Healing Story Technique" were used. Subjective Units of Disturbance (SUD) served as the outcome measure.

Key Findings:

• Age 5: Fear of abandonment and somatic symptoms predominated.


• Age 8: Denial and disruption of daily routines were observed.


• Age 10: Suspended grief and indirect processing through sibling identification were observed.


• Age 15: Anger-centered themes, injustice, and emotional distance predominated.


• Marked reductions in SUD scores were recorded after EMDR across all age groups (SUD decreased from 10 to approximately 2).

Conclusion: A shared traumatic event does not produce the same outcome in every child; developmental level determines symbolization and defenses. EMDR target selection and processing should be guided by the child's developmental stage.

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EMDR Intervention in a 5-Year-Old Case Exhibiting OCD Symptoms Following PTSD

Merve Gabralı, Berfin Bozkurt Bayhan

mervegabrali@gmail.com
berfinbozkurt@gmail.com

Focus: Treatment of a five-year-old girl presenting with posttraumatic stress disorder (PTSD) and associated obsessive-compulsive (OCD) symptoms after a parent underwent a lumbar puncture for health problems, followed by a serious road traffic accident.

Methodology: A PTSD-focused case formulation was used. The 13-session intervention included detailed assessment, parental stabilization, safe-place exercises, the "Magic Heart Connection," storytelling, and the reversed EMDR protocol.

Key Findings: Post-treatment assessment showed full remission of repetitive checking and ordering behaviors. The SUD score decreased from 8 to 0, and qualitative positive changes were identified in the child's drawings of the accident memory (a shift from chaotic drawings to organized, colorful ones).

Conclusion: Involving parents and using developmentally appropriate EMDR protocols enhance therapeutic effectiveness for PTSD and OCD symptoms in early childhood.

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EMDR in Older Adults: A Scoping Review

Guro Hanevold Bjorklof, Maria Lage Barca, Ida Bjork, Annika Skandsen, Roar Fosse, Edyta Piechura, Birgit Eichstetter, Susie Fu, Siren Eriksen

Focus: To map and synthesize the literature on EMDR interventions in adults aged 65 and older. The aim is to expand evidence-based psychotherapies given older adults' neurobiological vulnerability and susceptibility to pharmacological adverse effects.

Methodology: Major electronic databases were systematically searched. Quantitative and qualitative studies involving participants receiving EMDR with a mean age ≥ 65 were included. Data extraction focused on study design, adaptations, and outcomes.

Key Findings: Preliminary findings indicate that EMDR has been used in older populations diagnosed with PTSD, depression, neurological disorders, and somatic symptom disorders. Reported outcomes suggest that the method is feasible, reduces symptoms, and is well tolerated. Adaptations for cognitive decline, sensory impairments, and session pacing were common.

Conclusion: Current evidence supports the potential effectiveness of EMDR in older adults; however, larger controlled studies are needed to strengthen the evidence base.

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EMDR After Traumatic Childbirth: A Systematic Review of Recent Clinical Studies

Tortes Saint-Jammes, J., Larribite, M.,Benayoun, B., Lavandier, A.

Centre CAMEA, France
Centre Hospitalier de Cadillac, France

Focus: To systematically summarize recent clinical studies evaluating the effectiveness of EMDR in managing symptoms associated with traumatic childbirth (CB-PTSD).

Methodology: Conducted according to PRISMA 2020 standards, the review searched studies published between January 2020 and February 2024. Ten studies (including four major randomized controlled trials) met the criteria. Both quantitative and qualitative data were evaluated during synthesis.

Key Findings:

• Across the reviewed studies, EMDR was associated with reductions in childbirth-related traumatic stress symptoms.


• Secondary outcomes included reported improvements in depressive symptoms, fear of future childbirth, mother-infant bonding, and quality of life.


• No serious adverse effects were reported.

Conclusion: EMDR emerges as a reasonable trauma-focused option following traumatic childbirth. Current evidence supports viewing EMDR as a treatment integrated into perinatal trauma care pathways rather than as a universal intervention.

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Efficacy of EMDR Grief Protocol on Traumatic Grief and Emotional Processing Following Earthquake Loss: A Randomized Controlled Pilot Study

Şükran Pehlivan, Ersin Uygun

Istanbul Bilgi University, Master's Program in Applied Mental Health: Trauma and Disaster Studies

Focus: To examine the effectiveness of the EMDR Grief Protocol on traumatic grief symptoms and emotional processing in survivors of the February 6, 2023 earthquakes in Türkiye.

Methodology: A randomized controlled pilot study (N=78). Participants were assigned to a three-session EMDR Grief Protocol (n=39) or a waitlist control group (n=39). Measures: PCL-5 (PTSD), Traumatic Grief Scale (TGS), and Emotional Processing Scale (EPS).

Key Findings:

• Traumatic Grief: TGS scores decreased significantly from 56.1 to 35.8 in the EMDR group (p<.001).


• PTSD: A clinically significant reduction in PCL-5 scores (39.9 -> 24.2) was observed.


• Emotional Processing: Dramatic improvement in EPS scores was recorded compared with the control group.


• Large effect sizes were found across all outcomes (partial η² = .73 - .96).

Conclusion: The EMDR Grief Protocol is a highly effective, brief (three-session) intervention for post-disaster traumatic grief. This study provides the first experimental evidence for EMDR in the disaster context in Türkiye.

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Psychological and Immunological Benefits of EMDR in Hashimoto's Thyroiditis: A Randomized Controlled Trial

Macarenco Maria-Magdalena, PhD
Opariuc Cristian-Dan, PhD
Georgescu Teodora, PhD
Caciuloiu Livia

University of Bucharest, Romania
Institute for Trauma Studies and Treatment, Romania

Focus: To evaluate the effects of EMDR therapy on psychological status and immunological parameters (anti-TPO antibodies) in patients with Hashimoto's thyroiditis (HT).

Methodology: A randomized controlled trial (N=91). Three groups were established: EMDR, placebo, and treatment as usual (TAU). The 12-session EMDR intervention focused on traumatic memories preceding illness onset. Assessments were conducted at baseline, post-intervention, and three months.

Key Findings:

• Psychological Variables: Significant improvements in dissociation, depression, anxiety, stress levels, and quality of life were observed in the EMDR group.


• Immunological Effect: A significant reduction in anti-TPO antibody levels was recorded in the EMDR group; no significant effect on anti-TG was found.

Conclusion: EMDR may not only improve trauma-related symptoms in HT patients but also have positive effects on the immune system (reduced anti-TPO levels).

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The Effect of Bilateral Stimulation on Short-Term Memory in Children

Milena Tavdgiridze
Ketevan Devadze

Focus: To investigate the effects of bilateral stimulation (BLS), a core component of EMDR, on children's short-term memory capacity.

Methodology: An experimental study was conducted with 50 schoolchildren aged 8-9. Participants were divided into five groups, and the procedure consisted of three stages: baseline memory assessment, four sets of bilateral visual stimulation, and posttest assessment using parallel materials.

Key Findings: Bilateral stimulation was found to have a positive effect on children's short-term memory. Memory scores increased by an average of 34.42% (approximately one-third) following stimulation. Improvement was observed across auditory memory, visual recognition memory, and visuomotor reconstruction methods.

Conclusion: Bilateral stimulation may be used as a moderately powerful and beneficial tool to support cognitive development, particularly in educational contexts.

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Traumatic Memories and Psychological Well-Being in Polycistic Kidney Disease: The Role of EMDR Therapy

Barbara Santini, Mattia Rossi, Lidia Del Piccolo

Focus: To treat traumatic memories and anxiety/depression symptoms with EMDR in patients with polycystic kidney disease (PKD) who have witnessed the suffering of family members with the same condition.

Methodology: The pilot study examined four patients (two men, two women) aged 44-57. STAI (anxiety) and BDI (depression) scales were administered. Treatment focused on medical traumas such as dialysis or organ rejection and losses within the family.

Key Findings: Marked reductions in BDI and STAI scores were observed in all patients following EMDR intervention. Patients reported improvements in their emotional and psychological states. For example, one patient's BDI score decreased from 18 to 0 and STAI score from 58 to 50.

Conclusion: Witnessing the struggles of family members with the same chronic illness can have a traumatic impact. EMDR is an effective intervention for processing these traumatic memories and improving patients' overall well-being.

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When the Voice Becomes the Mother: EMDR with a Trauma-Related Dissociative Part in Adolescence

Sena İrem Tastanbanoglu

Private Practice, Izmir

Focus: To conceptualize auditory and visual hallucinations in adolescence, which may be mistaken for psychotic-spectrum symptoms, as trauma-related dissociative parts and treat them with EMDR.

Methodology: A case study involving a 15-year-old adolescent distressed by voices and images. Phase-oriented EMDR strategies (trauma integration) were applied, with progress monitored using SUD (Subjective Units of Disturbance) scores.

Key Findings: Following EMDR, the traumatic load and dominance of the "voices" decreased. The patient's emotion regulation capacity and self-attunement improved. SUD scores associated with auditory and visual experiences decreased dramatically as sessions progressed (from 8-10 to 1-2).

Conclusion: Dissociative voices in adolescence may represent trauma-related parts rather than primary psychosis, and a trauma-focused EMDR formulation is effective in resolving these symptoms.

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Early Intervention with Narrative Therapy and EMDR in Preschool: A Case Study 

Ana Santos-Lopes

CIPD - Centro de Investigaçao para o Desenvolvimento, Portugal
Universidade Lusiada de Lisboa, Portugal

Focus: The study aims to investigate the effectiveness of EMDR and narrative therapy in treating a five-year-old child, "Elena" (pseudonym), who exhibited both externalizing (tantrums, aggression) and internalizing (anxiety, inhibition) symptoms in a dysfunctional family environment.

Methodology: Elena participated in a 12-session integrative psychotherapy course combining narrative therapy and EMDR. Data were collected through clinical observations, standardized behavioral checklists for parents and teachers (CBCL/version for girls aged 4-18), and structured interviews. The intervention included direct work with the child and guidance sessions with both parents.

Key Findings:

• Clinically significant reductions in externalizing behaviors (tantrums, physical and verbal aggression) and internalizing symptoms (separation anxiety, nocturnal enuresis, fears) were observed.


• Improvements in family relationship quality and parenting competence were recorded.


• Therapeutic gains were maintained at the 24-month follow-up assessment.

Conclusion: Integrating EMDR and narrative therapy offers a promising early intervention approach for preschool children facing family difficulties, particularly when supported by systemic work with parents.

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When Care Becomes Threat | EMDR Europe Child & Adolescent Therapists Conceptualize Medical Trauma Through the AIP Lens

Canan Çitil Akyol, Sevim Berrin İnci İzmir

Sivas Cumhuriyet University, Department of Psychology, Türkiye
Istinye University, Department of Psychology, Türkiye

Focus: The study aims to explore how EMDR Europe-accredited child and adolescent therapists conceptualize childhood medical trauma from the perspective of the Adaptive Information Processing (AIP) model.

Methodology: Using a phenomenological qualitative design, structured online surveys were conducted with 21 expert EMDR therapists from 11 European countries. Data were examined using reflexive thematic analysis.

Key Findings: Four main themes emerged from the analysis:

1. When Care Becomes Threat: A fundamental paradox in which medical care is encoded within threat-based memory networks.


2. Trapped in the Body: The predominance of somatic sensations and disrupted safety signals.


3. Conditions Enabling Processing: The importance of parental co-regulation and emotional resources.


4. Memories of Integration: Somatic and cognitive shifts enabling a transition from "it is happening now" to "it is in the past."

Conclusion: Childhood medical trauma represents a distinct AIP context characterized by strong somatic encoding and disruptions in attachment-based safety. The findings emphasize the vital importance of developmentally sensitive resource development and caregiver co-regulation in supporting EMDR processing.

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Reprocessing High-Stakes Examination Trauma in Adolescence: An EMDR Case Report on Performance Anxiety

Zeynep Gamze Kalkanlı, PhD

Kuoni Congress, Oslo

Ergenlik Döneminde Yüksek Riskli Sınav Travmasının Yeniden İşlenmesi: Performans Kaygısı Üzerine Bir EMDR Vaka Raporu (Reprocessing High-Stakes Examination Trauma in Adolescence: An EMDR Case Report on Performance Anxiety)

Focus: This study aims to demonstrate the effectiveness of EMDR therapy in reducing examination-related performance anxiety reinforced by academic failure and parental emotional invalidation.

Methodology: A single-subject case study was conducted with a female adolescent preparing for the national university entrance examination and experiencing severe performance anxiety linked to a previous examination failure. Sessions followed the AIP model and the standard eight-phase EMDR protocol.

Key Findings:

• The Subjective Units of Disturbance (SUD) level decreased from 10 to 0.


• The Validity of Cognition (VoC) level increased from 1 to 7.


• Somatic symptoms such as a lump in the throat decreased; adaptive thinking, emotion regulation, and confidence in examination preparation improved.

Conclusion: This case supports EMDR as an effective intervention in adolescent academic contexts for performance anxiety arising from examination trauma and relational invalidation.

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Drawning in EMDR Therapy with Children - A qualitative analysis of pre- and post- treatment graphic indicators in two clinical cases   

Valeria Lazzarini, Giulia Di Fini, Anna Rita Verardo

Psicoterapia EMDR | Lugano, Swiss - studiopsicoterapiapialazzarini@gmail.com
Centro Clinico Crocetta | Turin, Italy
Istituto Italiano EMDR | Rome, Italy

Focus: The study aims to identify graphic indicators in children's drawings during EMDR treatment and analyze changes in the processing of traumatic experiences.

Methodology: A qualitative multiple-case study design was used. Participants were two children receiving EMDR for choking/suffocation trauma (a seven-year-old girl) and interpersonal trauma/neglect (a six-year-old boy). The children were asked to draw the traumatic target before and after EMDR; drawings and clinical observations were collected longitudinally.

Key Findings:

• Case 1: The initial long black lines (expressing bodily sensation) transformed after EMDR into a small green piece of food (a concrete, bounded object).


• Case 2: Post-treatment drawings showed more confident, less inhibited lines and figures positioned more realistically in space.


• Overall, spatial organization improved, traumatic activation decreased, and symbolic organization increased.

Conclusion: Using drawing during EMDR supports the externalization of traumatic experiences and serves as a sensitive process indicator for monitoring adaptive trauma resolution.

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Integrating Narrative EMDR with Schmea Therapy Mode Models | in Early Childhood Medical Trauma: A Case Study of OCD

Emel Güler, Prof. Dr. Ümran Korkmazlar

Clinical Psychologist, Istanbul
Fide Counseling, Istanbul

Focus: The study examines the integration of narrative EMDR and schema therapy mode models in treating obsessive-compulsive disorder (OCD) symptoms developing after early childhood medical trauma.

Methodology: A case study involving a seven-year-old girl with a history of early hospitalization and severe OCD symptoms. The intervention combined a storytelling-based EMDR protocol with schema therapy mode concepts such as the "Vulnerable Child" and "Healthy Adult."

Key Findings:

• Marked reductions in OCD symptoms, including rituals and obsessive thoughts, were found.


• The "Vulnerable Child" mode became more regulated, and parent-child interaction strengthened.


• Reduced SUD levels and increased perceived self-efficacy were recorded.

Conclusion: Combining these approaches helps both process traumatic memories and restructure the personality modes formed around the trauma.

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Effects of EMDR 2.0 on Traumatic Stress, Depression and Anxiety in Earthquake Survivor: A Randomized Controlled Pilot Study 

Furkan Geçen, Ersin Uygun

Istanbul Bilgi University, Master's Program in Applied Mental Health: Trauma and Disaster Studies

Focus: The study aims to evaluate the effectiveness of the EMDR 2.0 protocol, enhanced with working-memory loading tasks, in survivors of the February 6, 2023 earthquakes in Türkiye.

Methodology: The randomized controlled pilot study included 50 participants (25 intervention, 25 waitlist controls). Pretest, posttest, and one-month follow-up assessments used DASS-21, PCL-5, and EPS. Data were analyzed using repeated-measures ANOVA.

Key Findings:

• Statistically significant reductions (p<0.001) in depression (13.9 -> 3.7), anxiety (12.4 -> 3.5), stress (12.8 -> 3.1), and PTSD symptoms (54.8 -> 20.2 -> 13.5) were observed in the intervention group.


• Emotional processing scores improved, and these effects were maintained at one-month follow-up.


• Between-group comparisons confirmed that improvement was specific to EMDR 2.0 rather than natural recovery alone.

Conclusion: EMDR 2.0 is an intervention producing effective and lasting results in reducing symptoms and improving emotional processing after disasters.

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Adaptive Information Processing (AIP) Model Application in a Child with Early Attachment Disruptions, Multi-Country Relocation & Intrauterine Twin Loss - A Case Study of a 10-Year-Old Boy

Derya Ikdjaioune, Ümran Korkmazlar

Private Practice, Valladolid, Spain
Fide Counseling, Istanbul

Focus: To address tic symptoms, separation anxiety, and sleep disturbances caused by unprocessed prenatal and migration-related attachment memories within the AIP framework.

Methodology: A case study involving a ten-year-old child using a developmentally adapted EMDR protocol and therapeutic storytelling. The intervention consisted of preparation, memory activation (play and drawing), reprocessing, and installation.

Key Findings:

• SUD levels for target memories decreased from 8.5/10 to 0.


• Validity of Cognition (VoC) increased to 7.


• Tic frequency and intensity decreased; sleep patterns, social engagement, and emotion regulation improved.

Conclusion: Developmentally adapted EMDR and therapeutic storytelling successfully resolve early trauma without requiring behavioral training and restructure implicit memory networks.

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A Phase-Specific Somatic Integration Model within EMDR for Children and Adults: A Case Study

Selva Arslan, Ümran Korkmazlar

Nebula Psychology Center, Istanbul
Fide Counseling, Istanbul

Focus: The study aims to demonstrate the feasibility and effectiveness of phase-specific somatic integration throughout the eight-phase EMDR process.

Methodology: A 15-session course was conducted with a seven-year-old child showing symptoms of attachment and loss-related trauma. Somatic Experiencing principles (grounding, titration, pendulation) were integrated into the EMDR protocol.

Key Findings:

• Reductions in anxiety levels and hyperarousal were found.


• Affect tolerance increased, and nighttime crying episodes resolved.


• The "Window of Tolerance" expanded, and functional regulation at home and school improved.

Conclusion: Somatic integration serves as a safety-based scaffold throughout all phases of EMDR, strengthening clinical outcomes across developmental levels.

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Reprocessing Obsessions: A Developmental Threat-Regulation Model of Childhood and Adolescent OCD within the AIP Framework

Canan Çitil Akyol, Çiğdem Uzun Eren

Sivas Cumhuriyet University, Sivas
Private Practice, Niğde

Focus: To explore how developmental threat experiences shape obsessive-compulsive symptoms in children and adolescents and develop an AIP-based threat-regulation model.

Methodology: A constructivist grounded theory approach was used. Data from EMDR process reports for 32 clients aged 8-17 were examined using qualitative coding and analysis methods.

Key Findings:

• Core Category: "Disruption of the Balance Between Perceived Safety and Responsibility."


• Obsessions were found to reflect "threat activation," while compulsions were "regulation strategies" for managing that threat.


• EMDR was confirmed to reduce symptoms by reprocessing maladaptive memory networks.

Conclusion: OCD in young people should be understood as a threat-regulation process rather than an irrational disorder. The findings support a developmental model of OCD within the AIP framework.

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EMDR for Eco-Anxiety: Scoping Review and Preliminary Clinical Findings from A Pilot Intervention

Sezen Güleç, Zeynep Zat Çiftçi

Sivas Cumhuriyet University, Sivas
Institute for Change, England

Focus: This study focuses on "eco-anxiety," defined as persistent distress related to climate change and anticipated environmental collapse. It has two primary aims: (1) to map existing psychological interventions for eco-anxiety through a scoping review and (2) to present preliminary clinical findings from a pilot EMDR intervention targeting eco-anxiety symptoms.

Methodology:

• Scoping Review: A PRISMA-ScR-guided review was conducted in PubMed, PsycINFO, Scopus, and Web of Science, covering 2010-2026.


• Pilot Study: A single-group pretest-posttest design was used with five young adults scoring highly on the Climate Anxiety Scale (CAS). Participants received 3-5 sessions of an adapted EMDR protocol targeting distressing climate-related images and future catastrophe scenarios.


• Measures: CAS, Depression Anxiety Stress Scales-21 (DASS-21), Difficulties in Emotion Regulation Scale (DERS), and session-based SUD (Subjective Units of Disturbance) / VOC (Validity of Cognition) ratings were used.

Key Findings:

• The review primarily identified CBT- and ACT-based interventions; no controlled studies examining EMDR for eco-anxiety were found.


• Preliminary pilot data showed reductions in CAS, DERS, and DASS-21 scores.


• Within-session data showed significant decreases in SUD levels and increases in VOC levels.

Conclusion: The findings reveal an important gap concerning trauma-focused approaches in eco-anxiety research. Preliminary evidence suggests that EMDR may be a promising intervention for climate-related distress and supports conducting controlled trials.

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Virtual Reality-Delivered EMDR for Wartime Trauma in Ukrainian Hospitals: A Multi-Site Feasibility Study

Janita Daggy, Olya Zaporozhets, Cindy Palen, Evan LaFountain, Kyle Lincoln, Jennifer Brea, Joshua Nickles, Adam Kennedy, Jonathan Smith, Rodney Fry

Regenet University, US
Liberty University, US
International Institute of Postgraduate Education, Ukraine

Focus: The study aims to address the gap in Ukraine, where psychiatric presentations have increased because of the war while the mental health workforce has declined. Its primary focus is to evaluate the feasibility (practicality, acceptability, and implementation) of self-administered virtual reality (VR)-delivered EMDR in inpatient hospitals.

Methodology:

• Participants: Adult inpatients at four Ukrainian hospitals offering VR-EMDR.


• Procedure: Participants attended approximately 30-minute self-guided sessions. Clinicians managed setup and safety, while headsets automatically recorded sessions and SUD scores.


• Measures: Evaluation used criteria for practicality (number of sessions), acceptability (patient engagement and retention), and implementation (matching automated records with manual surveys).

Key Findings:

• Practicality (Partial): The intervention was implemented at all four sites; patients completed an average of three sessions (range 1-6).


• Acceptability (Partial): 45 patients enrolled, with strong retention.


• Implementation (Partial): Automated headset recording worked successfully; however, difficulties arose with manual survey collection (30% success) and ID matching.

Conclusion: VR-EMDR was found to be feasible in wartime hospital settings, with patients using the method repeatedly. Despite challenges in manual research infrastructure, the system's automated data collection provides operational efficiency.

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From Preparedness to Lived Experience: A Follow-up Content Analysis of Critical Incident Exposure in Airport Transport Workers
EMDR Concepts and Psychological First Aid

Papanikolopoulos P., Foundoulakis M., Stamati V., Kalogirou A., Koumantaki V., Prattos T.

TACT HELLAS, Kapetan Verda 26 st. 11744, Athens, Greece
emdrtrainingtact@gmail.com

Focus: This study aims to systematically analyze the experiences of airport transport workers exposed to critical incidents in high-risk transport environments. The primary goal is to contribute to the development of early stabilization strategies and EMDR-focused crisis interventions.

Methodology:

• Design: Quantitative content analysis.


• Sample: 13 transport workers at an island airport with high environmental and operational risks.


• Data Source: Structured written accounts describing exposure to critical incidents (aircraft crashes, emergency landings, volcanic activity, etc.). Data were coded according to predefined thematic categories.

Key Findings:

• Emotional impact was expressed as anxiety, fear, shock, and sadness, alongside a strong sense of duty and solidarity.


• Panic and mass population movements emerged as the most impactful experiences.


• Workers relied on peer and family support as their primary coping mechanism.


• A clear need was expressed for time away from work, access to EMDR-trained professionals, and group-based interventions.

Conclusion: Airport workers experience high levels of emotional and physiological activation while maintaining operational responsibilities. The findings highlight the need for ongoing crisis intervention training for this group, including early stabilization, group-based EMDR interventions, and structured recovery periods.

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Trauma Psycho Social Support Plus EMDR Elements (TPSS+): A Concept for Trauma-Education of Social Workers

Frank Hofmann, Michael Hase, Mirjam Goihl, Dr. Adrian Hase

TraumaAid Germany
Lüneburg Center for Stress Medicine
Department for Community Health Faculty of Science and Medicine University of Fribourg

Focus: The study aims to analyze the effectiveness of the TPSS+ curriculum, developed to address the shortage of mental health professionals in post-war and crisis regions. The goal is to equip social workers in crisis regions with trauma-focused methodologies.

Methodology:

• Data: Program effectiveness was evaluated using data from more than 1,200 clients in Ukraine and Kurdistan.


• Instruments: Demographic data, pretest-posttest scores using the WHO-5 Well-Being Index and Rosenberg Self-Esteem Scale (RSES), and qualitative feedback.


• Training: Fifteen-day seminars progressing from stabilization exercises to EMDR techniques were held.

Key Findings:

• Significant improvements (p < .001) were recorded in clients' well-being and clinicians' counseling competence.


• The intervention demonstrated effectiveness across different cultural and crisis contexts, including Kurdistan and Ukraine.

Conclusion: The TPSS+ curriculum enhances the competence of professionals working in crisis regions to address trauma in individual, group, and family contexts. Preliminary results (08/2025) from an ongoing randomized controlled trial (RCT) confirm significant progress among traumatized individuals despite the challenging conditions of war.

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The External View on Insight (EVI) Model: An AIP-Informed Video Feedback Protocol for Depression

Alişan Burak Yaşar, Canan Çitil Akyol, Elif Çarpar

Istanbul Nişantaşı University, Faculty of Medicine, Department of Psychiatry
Sivas Cumhuriyet University, Department of Psychology
Cambridgeshire and Peterborough NHS Foundation Trust (CPFT), England

Focus: To describe the theoretical foundations and clinical protocol of the EVI model, which aims to shift negative self-representations in depression toward an ego-dystonic experience. The model integrates video feedback, the AIP (Adaptive Information Processing) model, and self-distancing techniques.

Methodology:

• Design: A qualitative case series with thematic analysis.


• Participants: Three patients receiving standard pharmacotherapy (diagnosed with major depression and adjustment disorder).


• Protocol: A seven-phase pilot protocol (Assessment, Activation, Break, Observation, Reflection, Rescripting, Feedback).


• Data: In-session observations, semi-structured interviews, and BDI, BAI, BHS, and ATQ scales.

Key Findings:

• Although scales showed overall improvement, transient increases associated with emotional activation during visual/auditory confrontation were recorded.


• Prominent qualitative themes included a shift from ego-syntonic to ego-dystonic experience, self-presentation awareness, and compassionate rescripting.


• Signals of affect regulation in the pilot data informed the development of the protocol's final five-phase form incorporating bilateral stimulation (BLS).

Conclusion: EVI offers a structured, process-oriented framework for transforming negative self-images in depression. The pilot study demonstrates the model's transdiagnostic potential and provides a strong starting point for RCTs.

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Group EMDR Therapy in the Treatment of Obesity and Binge Eating Disorder (BED)

Manto Konstantoulaki, Natalia Seijo, Ermioni Tsarna, George Mastorakos, Fragiskos Gonidakis, Harilena Tsourouktsoglou, Manousos Konstadoulakis

madokonst@yahoo.com, Epiktitou 4, Pagrati, Athens, Greece
National and Kapodistrian University of Athens, School of Medicine, Athens, Greece

Focus: This study investigates the effectiveness and potential of group-based EMDR interventions in individuals struggling with eating disorders and associated maladaptive cognitions (shame, etc.).

Methodology:

• Participants: 62 processing sessions were conducted with 19 participants.


• Intervention: An online group format using Natalia Seijo's EMDR protocol was implemented.


• Analysis: Pre- and post-session SUD (Subjective Units of Disturbance) scores were recorded; the Wilcoxon signed-rank test and a linear mixed-effects model (LMM) were used.

Key Findings:

• A statistically significant reduction in distress levels after group processing was confirmed (p < 0.01).


• A substantial clinical effect was achieved, with a mean SUD reduction of 72.26% per processed event.


• One to five sessions were sufficient to achieve this reduction; session number had no direct effect on the magnitude of SUD reduction (p = 0.35).

Conclusion: The study provides initial evidence for the clinical effectiveness of group-based EMDR for BED. The group format offers a strong alternative to individual therapy, with advantages such as a shared sense of identity, reduced isolation, and increased accessibility.

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The Impact of the EMDR Protocol with Migration-Focused Clinical Adaptations: A Pilot Study

Derin Kubilay, Beril Eser Odabaşı, Canan Çitil Akyol

derin.kubilay@uu.nl
Utrech University, Netherlands
Private Practice, Türkiye
Sivas Cumhuriyet University, Department of Psychology

Focus: The study focuses on anxiety, acculturative stress, and social difficulties experienced by first-generation migrants. It examines the effects of migration-adapted EMDR on psychological distress and social adjustment.

Methodology:

• Sample: The pilot study, conducted in five countries (the Netherlands, England, Sweden, Austria, France), included 15 participants who completed pretest and posttest assessments.


• Procedure: Weekly sessions were delivered over 12 weeks. The standard EMDR protocol was adapted to address pre-migration experiences, the migration process, and future-oriented concerns.


• Measures: DASS-21 and the Social Adjustment Scale for Migrants (SCS).

Key Findings:

• Social Adjustment: A statistically significant increase in SCS scores was recorded (p = .008).


• Psychological Distress: A significant reduction in total DASS scores was observed (p = .014). All depression, anxiety, and stress subscales improved.


• Positive changes were also found in the belonging and past experiences subscales.

Conclusion: Migration-focused EMDR is effective both in reducing psychological symptoms and improving social domains (belonging, adjustment). The intervention addresses interconnected challenges in migrants' well-being and social integration.

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Nurturing the Therapeutic Relationship in Treating Nutrition and Eating Disorders in Adolescents: Parts' Work and EMDR

Alessandra Bollani, Martina Cussino, and Maria Zaccagnino

Centro EMDR Specializzato in Disturbi dell'Apprendimento, Milan, Italy
Centro EMDR Specializzato in Anoressia Nervosa e Disturbi  dell'Apprendimento, Milan, Italy

Focus: Focusing on the relationship between eating disorders (ED) and adverse childhood experiences (ACEs) in adolescents, this study aims to manage ruptures and defenses in the therapeutic relationship.

Methodology:

• Approach: EMDR integrated with parts work was used with adolescents and caregivers.


• Protocols: The EMDR ED protocol and EMDR parenting protocol developed by Zaccagnino (2017, 2022) were used.


• Process: Based on recognizing and validating the protective roles of the adolescent's symptoms (e.g., control) and the parent's blocking parts (e.g., avoidant parts).

Key Findings:

• Valuing the parts of the "Self" in both adolescent and parent was found to provide a corrective emotional experience.


• A system that cooperated with defenses was established, and parts of the "Self" were incorporated as resources.


• A new, integrated family narrative was created.

Conclusion: Combining parts work and EMDR facilitates trauma processing and strengthens the therapeutic alliance. This approach contributes to recovery by making sense of what symptoms communicate within the family.

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Trauma Recovery in Crisis: Lessons from EMDR C-GTEP with Children in Ukraine

Cindy Palen, Jami Stobaugh, Rodney Fry, Emily Snodgrass, Corie Schoeneberg, Olya Zaporozhets

Librty University, US
Regent University, US
International Institute of Postgraduate Education, Ukraine
Colorado Christian University, US

Focus: To evaluate the effectiveness of the EMDR Child Group Traumatic Episode Protocol (C-GTEP) in reducing psychological distress in children exposed to war in Ukraine.

Methodology:

• Participants: 20 children aged 7-12.


• Intervention: Four weekly C-GTEP group sessions, each lasting 90 minutes, were conducted.


• Measures: CATS-C (trauma symptoms), ITQ-CA (posttraumatic stress), and DSRC-C (depression/anxiety) were administered at pretest and posttest.

Key Findings:

• Significant improvements were recorded across all measures (p < .001).


• A mean reduction of 9.21 points in trauma symptoms (CATS-C) was found.


• Posttraumatic stress symptoms (ITQ-CA) decreased by 31.1%, with a large effect size (d = 1.21).


• Significant reductions in depression and anxiety scores were achieved.

Conclusion: C-GTEP is a feasible and effective intervention for reducing psychological distress in children in active conflict zones. The study supports the feasibility of time-limited, group-based interventions in humanitarian settings.

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Integration of J. Knipe's Present-Oriented Part (POP) and M. Hase's Desired State in EMDR Treatment of Craving: A Conceptual and Clinical Application Model

Dr. Laura Finelli

Clinical Psychologist & Psychotherapist - Certified Transactional Analyst (CTA) - EMDR Practitioner ITA/EU

Focus: This study focuses on a conceptual and clinical application model for managing craving in EMDR addiction treatment. The primary goal is to balance trigger desensitization with patient stabilization. By integrating J. Knipe's Present-Oriented Part (POP) and M. Hase's Desired State concepts into the DeTUR protocol, the study aims to reduce activation of early emotional parts and establish an adaptive relationship.

Methodology: The research includes a conceptual model and the clinical case of a 24-year-old male patient with cocaine dependence and binge eating episodes. The method consists of the following phases:

• Phase 1: Building the Internal Foundation: Activating POP and identifying the Desired State, then integrating it with POP.


• Phase 2: Incorporating the POP-Desired State Structure into the DeTUR Protocol: Identifying the trigger and activating it in a controlled manner.


• Phase 3: Consolidation: Developing future templates and stabilizing the Desired State.

Key Findings: Clinical application produced the following outcomes:

• Reduced compulsive urgency and increased mentalization capacity.


• The EMDR process was completed without the patient experiencing emotional collapse.


• A marked reduction in craving was observed (from 9/10 to 4/10).


• The window of tolerance expanded, and the patient's self-control and capacity to make choices increased.

Conclusion: This integrated model enables rapid stabilization of urge-driven states. Through resource-based desensitization, it was concluded to offer an effective intervention for addictions, emotional eating, and compulsive behaviors.

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EMDR Approach in the Treatment of Men Problematically Engaged in Chemsex

Maria Brodcikowska, Marcin Grabowski

Physical Culture in Krakow, Poland,
Association for Health Prevention "One World", Poland
Medical Center "Emphaty", Poland
Polish EMDR Therapy Society

Focus: This study addresses the background and aims of EMDR treatment for men experiencing problems with "chemsex" (psychoactive substance use in sexual contexts). It aims to evaluate the effectiveness of EMDR interventions in emotion regulation, stabilization, and trauma processing in this specific population.

Methodology: The research is structured as a case series (two cases) within a qualitative research design. Treatment follows this proposed sequence:

1. Therapeutic alliance and case conceptualization.


2. Stabilization and resource installation.


3. Work on shame and emotion regulation.


4. Application of FSAP (Feeling State Addiction Protocol) and/or DeTUR protocols.


5. Trauma processing using the Standard EMDR Protocol.

Key Findings:

• Both cases showed that therapy required an individualized, sequential approach.


• Resource installation supported emotion regulation and increased readiness for trauma processing.


• Reducing shame and establishing stabilization before proceeding to trauma processing are critically important.


• FSAP and DeTUR protocols were useful in addressing craving and triggers associated with chemsex behaviors.


• Clinical outcomes showed improvements in control over substance use, sexual functioning, and self-esteem scores.

Conclusion: EMDR is a promising approach for men experiencing chemsex-related problems; however, beginning directly with trauma processing may be risky. A sequential approach that first addresses emotion regulation and shame was concluded to be the safest and most effective route.

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INTACT: Integrated Trauma and Addiction Treatment. A naturalistic observational intervention study

Aurora Braun, Anne Kathrine Wisloff Nysæter, Eline Borger Rognli, Espen Kristian Ajo Arnevik, Karina Egeland and Eli Kristine Fiksdal Abel,

Section for Substance Use Disorder Outpatient Treatment Oslo University Hospital, Oslo, Norway
Section for Clinical Addiction Research, Oslo University Hospital, Oslo, Norway
The Norwegian Centre for Violence and Traumatic Stress Studies (NKVTS), Oslo, Norway

Focus: INTACT is a naturalistic observational intervention study examining the effectiveness of EMDR treatment for patients with substance use disorder (SUD) and comorbid posttraumatic stress disorder (PTSD). The primary aim is to generate knowledge about EMDR outcomes in SUD patients in real-world clinical settings.

Methodology: A naturalistic observational clinical study conducted at specialized SUD treatment centers in Oslo and Stavanger.

• Sample: Currently 100 participants (mean age 38; 50% women, 50% men). Alcohol use (36%), injection drug use (21%), and cannabis use (18%) are common.


• Instruments: Symptom change is measured using the PTSD Checklist (PCL-5).


• Design: Participants are intended to receive at least eight EMDR sessions.

Key Findings: Based on data not yet complete (N=40 participants after at least five sessions):

• 60% of participants were classified as "Improved" (a reduction of 12 or more points in PCL-5 scores).


• Symptoms remained unchanged in 32.5%.


• Symptom worsening was recorded in a small group of 7.5%.

Conclusion: Initial data indicate that most SUD patients experience reductions in trauma symptoms. The study aims to reach 200 participants by the end of 2025 to inform national and international treatment guidelines.

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Object Relations and Psychoanalytic Perspectives in EMDR Therapy: The Targeting Core Affective Image (TCAI) Protocol

Alişan Burak Yaşar, Canan Çitil Akyol, Önder Kavakcı, Armağan Gülenay, Muhammed Görkem Gökçelioğlu

Istanbul Nişantaşı University, Faculty of Medicine, Department of Psychiatry, Istanbul
Sivas Cumhuriyet University, Department of Psychology, Sivas
Private Practice, Istanbul
Private Practice, Ankara
Private Practice, Istanbul

Focus: This study aims to establish a theoretical bridge between object relations theory and EMDR's Adaptive Information Processing (AIP) model. The Targeting Core Affective Image (TCAI) protocol focuses on preverbal experiences outside autobiographical memory in contexts such as chronic interpersonal difficulties, attachment trauma, and personality disorders.

Methodology: A theoretical synthesis based on systematic clinical observations ongoing since 2017.

• Foundation: Integration of the object relations theories of Fairbairn, Klein, Kernberg, and Winnicott with the AIP model.


• Application: The protocol consists of four steps:
  
  
  
  1. Identifying the dominant object dyad (Persecutory, Omnipotent, or Idealized).
  
  
  2. Identifying the core affect (shame, guilt, anger, etc.).
  
  
  3. Selecting the affective gaze (mother, father, parental conflict).
  
  
  4. Processing with standard EMDR.
  
  
  
  

Key Findings:

• A paradigm shift from autobiographical events toward symbolic representations was achieved.


• TCAI provides direct access to preverbal and implicit relational nodes in the memory network.


• It was observed to preserve the therapeutic alliance in personality disorder cases and may reduce treatment dropout rates.

Conclusion: TCAI is not an alternative to the standard protocol but an additional pathway for accessing nodes of relational failure that autobiographical memory targeting cannot reach.

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Addressing Wartime Trauma in Ukraine with VR-Delivered EMDR: Findings from a Pilot Clinical Study

Cindy Palen, Olya Zaporozhets, Evan LaFountain, Janita Daggy, Kyle Lincoln, Jennifer Brea, Jashua Nickles, Adam Kennedy, Jonathan Smith, Rodney Fry

Regent University, US
Liberty University, US
International Institute of Postgraduate Education, Ukraine

Focus: In response to war-related trauma in Ukraine, this pilot study investigates the feasibility and effectiveness of virtual reality (VR)-delivered EMDR to increase access to evidence-based trauma treatment despite limited clinician availability.

Methodology: A naturalistic pretest-posttest analysis conducted at four hospitals in Ukraine.

• Sample: N=17 (eight received VR-EMDR only, eight standard treatment, and one combined treatment).


• Instruments: PCL-5 (PTSD), HAD-S (anxiety and depression), and WHO-5 (psychological well-being).


• Analysis: The analysis focused on a small subset of VR participants with paired data.

Key Findings:

• Four of the seven VR participants meeting PTSD criteria at baseline no longer met those criteria after treatment.


• Statistically significant reductions (p < .05) in anxiety (median from 8 to 4) and depression (median from 10 to 6) were recorded in the VR group.


• Psychological well-being (WHO-5) scores showed a positive trend, increasing from 21.6 to 38.0.

Conclusion: VR-delivered EMDR may be a powerful supportive tool for reducing trauma symptoms in hospitalized patients in conflict zones, and this technology-assisted approach may improve accessibility in systems with specialist shortages.

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Healing Together: The Application of EMDR in Family Group Settings

Hande Ayraler Taner, Umran Korkmazlar, Bedia İnce Taşdelen, Zeynep Korkmazlar, Bilge Çevik, Gözdenur Bozkurt Ünal, Elmas Çantaoğlu

Başkent University, Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara
Fide Counseling, Istanbul
Bilge Düşünce Counseling Center, Istanbul

Focus: This study aims to demonstrate the clinical effectiveness of group EMDR therapy (EMDR-GP/C) in four families experiencing shared traumatic events such as accidents, parental loss, bereavement, and chronic illness.

Methodology: This case series used the EMDR Group Protocol for Children developed by Korkmazlar.

• Intervention: The intervention was delivered as two 90-minute sessions with ten-minute breaks. It includes safe-place exercises, resource exercises, drawing techniques, and desensitization phases.


• Assessment: IES (Impact of Event Scale), PROPS, CROPS, and SUD (disturbance ratings) scores were used. Follow-up assessment was conducted four weeks later.

Key Findings:

• Case 1 (Sudden parental loss): Reduced maternal stress and decreased PTSD symptoms in the children.


• Case 2 (Chronic illness/Wilson's disease): Full symptom remission in the children and improved mother-child communication.


• Case 3 (Anxiety): Increased emotional awareness and communication; full remission in one child after five individual sessions.


• Case 4 (Witnessing an armed attack): Reduced SUD scores and stabilization of acute stress.

Conclusion: EMDR group therapy is a rapid and effective intervention when trauma affects all family members. Group sessions may reduce the need for individual sessions and strengthen emotional support within the family.

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ART as a Tool for Processing within the EMDR Therapeutic Pathway: A Perspective at the Intersection of Neurobiology, AIP, and Art Therapy

Tatiana Spolador

Psychologist, Psychotherapist | EMDR Europe Accredited Supervisor, Expert in Psychotraumatology and Stress Management

Focus: This study examines the role of artistic expression in EMDR therapy within the Adaptive Information Processing (AIP) model and a neurobiological perspective. According to the AIP model, traumatic memories are stored dysfunctionally, leading to persistent maladaptive emotional, cognitive, and somatic responses. Neurobiologically, trauma disrupts integration between limbic activation and cortical processing. The study's primary aim is to explore the supportive role of artistic expression as a nonverbal channel for accessing implicit memory networks, facilitating access to traumatic material and desensitization, and promoting the integration of fragmented experiences.

Methodology: The research was conducted with clients receiving EMDR psychotherapy in a private clinical practice. The research design is based on qualitative clinical observation of symbolic transformation. Data collection and observation took place in three stages:

• Before EMDR processing,


• During EMDR sessions,


• After reprocessing. The method used spontaneous artistic creations, such as drawings, symbols, and objects, produced by clients throughout the process.

Key Findings: Integrating art into the EMDR framework was found to support the externalization of implicit material, enhance dual-attention processes, and facilitate the transition from implicit to explicit memory. Key clinical and observational findings include:

• Emotional Improvement: A reduction in subjective emotional distress was observed.


• Cognitive Restructuring: Internal representations were observed to shift from a disorganized to a coherent structure.


• Awareness and Connection: Emotional awareness increased, and the connection between bodily sensations and narrative meaning strengthened.


• Observed Process: Therapy was found to follow the stages of "fragmentation → symbolization → integration." Artistic creation served as a mediator between bottom-up activation and top-down integration.

Conclusion: The research shows that art, when integrated into EMDR therapy, can function as a powerful adjunct supporting trauma processing and integration. Making inner experience visible through artistic creation enables transformation and meaning-making. The study's central emphasis is that "what cannot be fully processed in words may emerge through images."